| Lawrence G. Kidd M.d., P.c. | |
|
25 Marston St Ste 401 Lawrence MA 01841-2310 | |
| (978) 682-3686 | |
| (978) 794-0841 |
| Full Name | Lawrence G. Kidd M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Marston St, Lawrence, Massachusetts |
| Authorized Official Name and Position | Lawrence G Kidd (PRESIDENT) |
| Authorized Official Contact | 9786823686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence G. Kidd M.d., P.c. 25 Marston St Ste 401 Lawrence MA 01841-2310 Ph: (978) 682-3686 | Lawrence G. Kidd M.d., P.c. 25 Marston St Ste 401 Lawrence MA 01841-2310 Ph: (978) 682-3686 |
| NPI Number | 1255382461 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 06/23/2014 |
| Medicare PECOS PAC ID | 1355414533 |
|---|---|
| Medicare Enrollment ID | O20080722000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255382461 | NPI | - | NPPES |
| M13869 | Other | MA | BLUE CROSS BLUE SHIELD |
| 110069548A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| Provider Name | Lawrence G Kidd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639121957 PECOS PAC ID: 0446260558 Enrollment ID: I20080421000099 |
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Bestself Primary Care & Med Spa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Merrimack St Ste 351, Lawrence, MA 01843 Phone: 978-560-9039 | |
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